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Reclamaciones por cirugía en sitio erróneo (1986- 2017). / [Analysis of claims for wrong-site surgery (1986-2017)].

Arimany-Manso, J; Aragonès Rodríguez, L; Benet-Travé, J; Martin-Fumadó, C; Bruguera Villagrasa, R; Fuz, F; Gómez-Durán, E L.
An Sist Sanit Navar; 41(2): 205-209, 2018 Aug 29.
Artículo en Español | MEDLINE | ID: mdl-30063039

BACKGROUND:

Wrong site surgery (WSS) is a potentially preventable adverse event in healthcare.

METHODS:

We performed a retrospective analysis of the 9,129 claims managed by the Professional Liability Service of the Catalonian's Colleges of Physicians from 1986 to 2017.

RESULTS:

We identified 57 claims for WSS (1.78 per year), with an increase in the final ten years (0.92 to 3.83). One patient identification error corresponded to the anesthetic procedure; surgery involving fingers (17.5%), backbone (15.8%), knee (12.3%) and teeth (12.3%) was predominant. Orthopedic Surgery and Traumatology was the specialty most involved (54.4%), being tooth extraction, vertebral disc prolapsed surgery and finger bone resection the most frequent procedures with seven cases each (12.3%). Claims followed criminal (16 cases, 28.1%) or civil proceedings (9 cases, 15.8%), with two guilty verdicts on a civil basis. The frequency of claims leading to compensation was 59.6%, averaged 9,210.23 euros per claim, resolved through extrajudicial (65.6%) or judicial channels (50.0%).

CONCLUSION:

WSS events cannot be overlooked and shows high incidence of claims liability rates, which highlights the need to increase efforts to ensure patient safety in this area.